Osteoplasty

Modern dentistry provides ample opportunities for restoring the functionality of the dentoalveolar apparatus, and, first of all, it concerns implantology. Osteoplasty is one of the signs of the use of innovative technologies in dental surgery. Sinus lift is a section of osteoplasty and is performed before implant placement. This is an operation, the purpose of which is to increase the volume of atrophied bone in the places where the upper chewing teeth are located, and high-quality sinus-lifting of teeth in Dnipro is Amel Dental Clinic.

Sinus lifting operation: main indications

Atrophy or insufficient thickness of bone tissue is encountered in the following cases:

• congenital disorder in which the bone thickness is less than 6-8 mm;
• after a traumatic tooth extraction;
• with advanced periodontitis or periodontal disease, which are accompanied by the destruction of bone tissue;
• with prolonged wearing of removable dentures;
• with bone resorption after long-term tooth extraction;
• in the presence of inflammation of the dental root (granuloma or cyst).

What is sinus lift?

This is a microsurgical intervention, during which the dentist raises the sinus (the floor of the maxillary sinus) and fills the resulting space with a material that accelerates bone regeneration, as a result of which its height and width are restored, which makes it possible to install an implant in this place. It is considered one of the most difficult operations in dentistry and is performed by doctors with appropriate training in the field of maxillofacial surgery.

Types of sinus lift

There are two ways to build up bone: closed and open. Let’s consider the features of each of them.

Closed sinus lift:

• 1
  the height of the bone at the site of the implant installation must be at least 5 mm;
• 2
  no incisions required, minimal intervention;
• 3
  bone replacement material is inserted into the sinus through the hole made for the implantation;
• 4
  the rehabilitation period is 3 to 7 days.

Open sinus lift:

• 1
  performed when the thickness of the alveolar bone is less than 3 mm;
• 2
  a complex operation in which a gum incision is made and a window is drilled into the bone;
• 3
  artificial material is introduced through a hole in the sinus, after which it is closed with a membrane;
• 4
  the installation of the implant is possible only after the restoration of the tissue volume, which will take 4-6 months.

The following materials are used to restore bone tissue:

• The patient’s bone tissue. For this, material is taken from various sites: chin, lower jaw, hip region. In this case, 100% compatibility is ensured, but the patient has to go through two operations.
• Artificial materials. Created in laboratory conditions for each patient individually. According to their characteristics, they are in no way inferior to natural ones, they take root well.
• Bone tissue of animal origin. It takes root well enough, it is supplied in the form of bone chips or blocks.

Closed sinus lift technique

The operation takes 30-60 minutes and consists of the following stages:

• an examination is carried out to identify contraindications;
• the state of bone tissue and alveolar process is studied using tomography and X-ray examination;
• a hole is drilled to install the implant;
• the bottom of the maxillary sinus rises, a special material is introduced into the space formed under the sinus;
• the implant is installed.

Open sinus lift technique

Surgical intervention is preceded by a comprehensive diagnosis and the creation of a treatment plan. The procedure is completely painless, carried out under local anesthesia and takes 1-2 hours.

Main stages:

• 1
  exfoliation of the mucous membrane after the incision;
• 2
  drilling a hole in the bone;
• 3
  introduction of material replacing natural bone;
• 4
  suturing a fragment of the mucous membrane.

The stitches are usually removed after 5-7 days. A repeat visit to the clinic for examination should take place in a month. The patient must be prescribed antibiotics and drugs that accelerate tissue regeneration, in order to avoid the risk of suppuration.

Contraindications for sinus lift

The procedure has the same contraindications as any surgical operation:

• blood clotting disorders;
• heart failure;
• chronic diseases in the acute stage;
• chronic infectious diseases in the maxillary sinus;
• oncological diseases.

In addition, sinus lifting is not performed for sinusitis, sinusitis, polyps, and chronic rhinitis.

Actions after the sinus lift surgery

The following recommendations will help avoid complications and accelerate tissue regeneration:

• apply ice to your cheek after surgery to reduce tissue swelling;
• you cannot eat within 2 hours after the operation;
• within 1 month, deep-sea diving, air travel and any loads that can provoke a pressure drop in the maxillary sinus are contraindicated;
• for a speedy recovery, you should not eat spicy and solid foods (give preference to soups, yogurts, cereals);
• chewing food is better on the side opposite to the one where the operation was performed;
• we recommend giving up alcohol and smoking for a while;
• see your doctor regularly to monitor your recovery.

Osteoplasty in dentistry Amel Dental Clinic in Dnipro

If you are faced with a lack of bone tissue or its atrophy in preparation for implantation, we offer to augment the bone for the implant in our clinic. This is a complex procedure, but thanks to the qualifications and experience of our doctors, it is as comfortable and effective as possible for the patient. Modern technologies used in the clinic also allow gum augmentation and other complex dental operations.

To build up the jaw bone, we suggest making an appointment with a doctor by filling out an application on the website of the dental clinic Amel Dental Clinic, Dnipro (Dnipropetrovsk). On the site you can get a free consultation using contact numbers or one of the communication channels: Telegram, Facebook, WhatsApp, by e-mail. You can find out the prices in the price list on the website or from our managers by phone.